Esaote Mylab 25 30

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(1)ESAOTE S.p.A.. Rev. A May 2006. MyLab25 and MyLab30CV INTRODUCTION 8300416000.

(2) User's kit The box contains the licenses, the USB pen drive and the "Operator Manuals" disk. Licenses The licenses enable specific functions of the system, e.g. the Clip. Licenses are linked to the system’s serial number and are, therefore, unique. They should be carefully stored. The system is delivered by ESAOTE, with the licenses installed. MyLab Pen Drive. The appliance is supplied with a customised USB pen drive. The pen drive can be used as a digital support for data. For further information on how to use it, please read the Getting Started manual. “Operator Manuals” Disk The disk contains, in digital format, all the manuals supplied with the system. The manuals are available in the languages that can be set on the system.. 2/10.

(3) Operator Manuals These manuals refer to the MyLab25 and MyLab30CV products, indicated by the name MyLab inside the manuals. The Operator Manuals consist of three Sections: Getting Started The manual describes how to install the system and provides the main instructions for using it.. GS. This symbol is used to indicate this section of the manual. Whenever it is shown, it indicates that further information on the specific subject are available in this section.. Transducers and Consumables The manual describes the cleaning, disinfecting and maintenance procedures for the probes and their accessories. Information is also supplied on the consumables that can be used.. TC. This symbol is used to indicate this section of the manual. Whenever it is shown, it indicates that further information on the specific subject are available in this section.. Safety and Standards The manual contains information about the patient's and operator's safety. The system's conformity standards are also indicated.. SS. This symbol is used to indicate this section of the manual. Whenever it is shown, it indicates that further information on the specific subject are available in this section.. A AO O. This symbol is used to indicate the "Advanced Operations" Manual, available in the "Operator Manuals" CD.. 3/10.

(4) Glossary MyLab ultrasound systems are available in two configurations: portable and mobile.. Portable configuration means that the system is equipped with a handle, whose size and weight allow it to be used to carry the system. The term “portable” is always used with this meaning in these manuals. A mobile configuration is equipped with wheels allowing to carry the system from one room to another. The term “mobile” is always used with this meaning in these manuals. For detailed information on your model and its configurations, please refer to the “Getting Started” manual, which is specific for each product.. 4/10.

(5) MANUFACTURER’S RESPONSIBILITY ESAOTE is responsible for the safety, reliability and functioning of this product only if: • the user follows all the instructions contained in this Manual for the use and the maintenance of this system; • this Manual is kept integral and readable in all its parts; • calibrations, modifications and repairing are performed only by ESAOTE qualified personnel; • the environment where the system is used complies with the current safety rules; • the electrical plant of the environment where the system is used complies with the current applicable rules and is perfectly efficient.. 5/10.

(6) DICHIARAZIONE CE DI CONFORMITA’ - Direttiva 93/42/CEE - allegato II CE DECLARATION OF CONFORMITY - 93/42/EEC Directive - annex II DECLARATION DE CONFORMITÉ - 93/42/CEE - annexe II KONFORMITÄTSERKLÄRUNG - 93/42/EWG - Anhang II DECLARACIÓN DE CONFORMIDAD CE - Directiva 93/42/EEC. Noi costruttori: We manufacturer:. Nous les Constructeurs: Wir, die Hersteller: Nosotros, los fabricantes ESAOTE S.p.A. - Via di Caciolle, 15 - 50127 Firenze - Italy dichiariamo, sotto la nostra responsabilità, che il sistema: declare under our sole responsability that the system: déclarons sous notre responsabilité que le système: erklären, daß das System, unter unserer Verantwortung: declaramos, bajo nuestra responsabilidad, que el producto: MyLab25 MyLab30CV è stato costruito applicando il sistema di garanzia della qualità approvato per la progettazione, fabbricazione e controllo finale del prodotto e risponde alle disposizioni presenti dell'Allegato II della direttiva 93/42/CEE sui dispositivi medici. has been manufactured by applying the quality system approved for the design, manufacture and final inspection and meets the provisions of the 93/42/EEC-Annex II medical devices directive. a été construit en appliquant le système de qualité approuvé pour le projet, production et contrôle final du produit et répond aux dispositions de la directive 93/42/CEE-Annexe II pour les appareils médicaux. mit der Anwendung des geprüften Qualitätssystems für das Projekt, die Fertigung und die Schlußkontrolle des Produkts gefertigt wurde und daß es die Anordnungen der Richtlinie 93/42/EWG-Anhang II für medizinische Geräte erfüllt. ha sido fabricado aplicando el sistema de garantía de la calidad aprobado para el diseño, fabricación y control final del producto y responde a los requisitos presentes en el Anexo II de la directiva 93/42/EEC sobre los dispositivos médicos. Il rappresentante legale ESAOTE. ESAOTE legal representative. Le représentant légal de ESAOTE. ESAOTE autorisierter Bevollmächtiger. El representante legal de ESAOTE.. 6/10.

(7) USAGE LICENSE AGREEMENT FOR THE SOFTWARE INCLUDED IN THE APPARATUS. Attention Please read with care the terms and conditions indicated below before using the software on the unit. Use of the software implies acceptance of the terms and conditions listed below.. PROPRIETARY RIGHTS You have acquired a device (“DEVICE”) which includes Esaote S.p.A. proprietary software and/or software licensed by Esaote S.p.A. from one or more software licensors (“Software Suppliers”). Such software products (“SOFTWARE”), as well as associated media, printed materials, and “online” or electronic documentation are protected by international intellectual property laws and treaties. The SOFTWARE is licensed, not sold. The SOFTWARE and, similarly, any copyrights and all industrial and intellectual ownership rights are and shall remain the exclusive propriety of Esaote S.p.A. or its Software Suppliers. The user will acquire no title or right on the SOFTWARE, except for the usage license granted herein.. LICENSE RIGHTS AND LIMITATIONS With this license, Esaote S.p.A. grants the end user the right to use the SOFTWARE on the supplied DEVICE. The user may not, under any circumstances, make unauthorized copies and/or reproductions of the SOFTWARE or parts of it, including the enclosed documentation. On the basis of the above, and if the SOFTWARE is not protected against copying, only one copy of the SOFTWARE may be made for security purposes (back up copy). The user may not rent or lease the SOFTWARE, but he may transfer, on a permanent basis, the rights granted herein, on condition that he transfers all copies of the SOFTWARE and all written material, and that the transferee accepts all the conditions of this agreement. Any transfer must include the most up-to-date version and all the previous ones. The user may not convert, decode, reverse-engineer, disassemble or change in any way the SOFTWARE. The user may not remove, obscure or alter the copyright notice, trademarks or other proprietary rights notices affixed to or contained within the SOFTWARE. The user may not publish data or information comparing the performances of said SOFTWARE with that of software written by others.. 7/10.

(8) PRODUCT TRACEABILITY To guarantee the product traceability according to what stated by the quality standard ISO13485 and by the European Directive on Medical Devices 93/42/EEC, ESAOTE kindly requests the original owner of the equipment to give communication to our central plants, or to one of our subsidiaries, or to one of our official distributors of any eventual conveyance of the product property. Please use a duly filled copy of the form reported below or send us a communication reporting the same data indicated in this form. All data relating to the system can be found on its identification label.. Product Traceability Form To:. ESAOTE S.p.A. Quality Assurance Department Via di Caciolle, 15 I-50127 Firenze. ESAOTE system/device name: ......................................................................... REF: ................................................................................................................ SN: .................................................................................................................. Name and address of the original owner: .......................................................... ......................................................................................................................... Name and address of the new owner: ............................................................... ......................................................................................................................... Date: Signature. 8/10.

(9) VIGILANCE SYSTEM This equipment is subject to ESAOTE vigilance system (post-marketing vigilance) in case of potential or real hazards for the patient or for the operator which might occur during the normal system functioning, in order to be able to remove them with the best efficiency and timing. Therefore if the user records any malfunction or deterioration in the characteristics and/or performances of the device, as well as any inadequacy in the labelling or the instructions for use which might lead to potential or real hazards for a patient or for an operator, we kindly request to immediately inform ESAOTE central plants, or one of our subsidiaries, or one of our official distributors immediately through the following form, or through a communication reporting the same data contained in this form. All data relating to the system can be found on its identification label. In this way we will be able to take all adequate measures with the best efficiency and timing. Post-Marketing Vigilance Form To:. ESAOTE S.p.A. Quality Assurance Department Via di Caciolle, 15 I-50127 Firenze. ESAOTE system/device name: ......................................................................... REF: ................................................................................................................ SN: .................................................................................................................. Description of the potential/real hazard: .......................................................... ......................................................................................................................... Notes and suggestions: .................................................................................... ......................................................................................................................... Contact Person/Department: ............................................................................ Address: ......................................................................................................... Phone: .......................................... Fax: ...................................................... Date: Signature. 9/10.

(10) Important Information This mark complies with the Medical Device Directive 93/42/EEC.. For US Customers: US Federal Law restricts this device to sale, distribution and use by or on the order of a physician.. 10/10.

(11) ESAOTE S.p.A.. Rev. A June 2006. MyLab25 and MyLab30CV GETTING STARTED OPERATOR MANUAL 8300415000.

(12) GETTING STARTED.

(13) GETTING STARTED. Introduction This manual refers to the MyLab25 and MyLab30 ultrasound systems, named in the following chapters as MyLab. MyLab is available both in portable and in mobile configuration. The term “MyLab”, used in this manual, refers to both configurations. When the information refers to only one configuration, it will be specifically indicated. This manual explains how to install and use the MyLab ultrasound system. All system keys and their functions are described. Whether these keys are enabled or disabled depends on the installed software release. This manual is organized in the following chapters: •. Chapter 1: Additional Information on Safety This chapter provides information about specific safety features of the MyLab system.. •. Chapter 2: Clinical Applications This chapter specifies in which clinical applications the MyLab can be used.. •. Chapter 3: System Components and Installation This chapter lists the available MyLab configurations. Moreover, it contains the installation instructions.. •. Chapter 4: Control Panel This chapter describes the MyLab control panel.. •. Chapter 5: Screen Lay-Out In this chapter one can learn how information is organized on the screen.. •. Chapter 6: Exam Performance This chapter explains how to perform an exam with the MyLab system.. •. Chapter 7: Measurements and Calculations This chapter explains how to perform measurements on ultrasound images.. •. Chapter 8: Exams Archive This chapter describes how to use MyLab archive.. •. Chapter 9: System Menu This chapter explains how to configure the MyLab.. •. Chapter 10: System Maintenance This chapter lists all necessary maintenance procedures.. •. Chapter 11: Technical Specifications This chapter lists all MyLab technical specifications.. •. Appendix A: Acoustic Output Tables This chapter lists all MyLab acoustic output tables.. In this manual a WARNING pertains to possible injury to a patient and/or the operator. A CAUTION describes the precautions, which are necessary to protect the equipment. Be sure that you understand and observe each of the cautions and warnings..

(14) GETTING STARTED. In this manual control panel keys and software keys are indicated using the following graphical conventions: Control panel keys. They are indicated by BLUE CAPITAL LETTERS or by the ). corresponding graphic symbol (e.g.. Software keys. They are indicated by B L A C K. CAPITAL LETTERS. The confirmation key is always indicated throughout the manual as ENTER, while the menu context key as UNDO..

(15) Table of Contents 1Additional Information on Safety ..............................................................1-1 Environmental Safety..............................................................................................1-1 Transport Safety......................................................................................................1-1 Electromagnetic Compatibility ...............................................................................1-2 Probes Superficial Temperature..............................................................................1-4 2Clinical Applications.....................................................................................2-1 Models ....................................................................................................................2-1 Clinical Applications ..............................................................................................2-2 3System Components and Installation..........................................................3-1 Configurations ........................................................................................................3-1 Installation ..............................................................................................................3-2 Acclimation Time ...................................................................................................3-5 Adjusting the LCD Screen ......................................................................................3-6 Installing the Video Peripheral Units......................................................................3-6 Additional Connections ..........................................................................................3-8 Moving and Transporting the System.....................................................................3-9 4Control Panel.................................................................................................4-1 The Control Panel ...................................................................................................4-1 Alphanumeric Section.............................................................................................4-1 Trackball .................................................................................................................4-2 Software Keys.........................................................................................................4-3 Controls Section......................................................................................................4-3 Advanced Operations..............................................................................................4-7 5Screen Lay-Out .............................................................................................5-1 Information about the Screen..................................................................................5-1 Heading ...................................................................................................................5-1 Image Area..............................................................................................................5-2 6Exam Performance .......................................................................................6-1 Exam Start and End ................................................................................................6-1 ECG.........................................................................................................................6-3 Performing the Exam ..............................................................................................6-3 Freeze and Scrolling Memories ..............................................................................6-4 Exam Review ..........................................................................................................6-5 Annotations .............................................................................................................6-6 System Shut Down..................................................................................................6-6 7Measurements and Calculations..................................................................7-1 General Information................................................................................................7-1 Generic Measurements ...........................................................................................7-2 Specific Calculation Packages ................................................................................7-2 8Exams Archive ..............................................................................................8-1 Archive Icons ..........................................................................................................8-1 Data Archival ..........................................................................................................8-1. i.

(16) Review of Archived Exams ....................................................................................8-2 End of Archive Review...........................................................................................8-3 Archival Media Management .................................................................................8-4 9System Menu .................................................................................................9-1 Configuration Menu................................................................................................9-1 Tools Preset.............................................................................................................9-1 Application Measurements .....................................................................................9-1 Report Customization .............................................................................................9-1 Generic Measurements ...........................................................................................9-2 General Preset .........................................................................................................9-2 User Preset ..............................................................................................................9-3 Peripherals ..............................................................................................................9-4 Glossary ..................................................................................................................9-4 Dicom Configuration ..............................................................................................9-4 Network Drives Configuration ...............................................................................9-4 Gray Map ................................................................................................................9-5 Service ....................................................................................................................9-5 Save & Load Presets ...............................................................................................9-5 Security ...................................................................................................................9-5 Licenses ..................................................................................................................9-5 System Configuration .............................................................................................9-5 Shut Down ..............................................................................................................9-5 10 - System Maintenance ...................................................................................10-1 Cleaning of System and Peripheral Units .............................................................10-1 11 - Technical Specifications ............................................................................11-1 MyLab Models......................................................................................................11-1 Portable Configuration..........................................................................................11-3 Mobile Configuration ...........................................................................................11-5 Safety Standards ...................................................................................................11-5 Probes Operating Frequencies and Modes............................................................11-5 Appendix A - Acoustic Output Tables ...............................................................A-1 Acoustic Output Data according to FDA...............................................................A-1 Acoustic Output Data according to IEC61157 ....................................................A-65. ii.

(17) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 1 - Additional Information on Safety SS. 1. Chapter. This chapter provides additional information on safety specifically for MyLab products. Please read the "Safety and Standards" manual carefully for a complete overview of all safety aspects of MyLab products.. Environmental Safety Special waste. These systems contain a lithium battery. The fluorescent lamp included in the LCD screen contains mercury. The battery and the LCD screen must be treated as special waste in conformity with applicable local regulations. Dispose of the equipment as special waste in conformity with applicable local regulations.. Transport Safety The system front wheels are equipped with brakes, which can be activated individually.. W A R N I N G. Do not park the system on a slope. Do not use the brakes to park the machine on a slope. If your system is equipped with peripherals, make sure that they are safely attached via Velcro strips; for transportation in a vehicle, it is strongly recommended to remove the peripheral(s) and follow the device manufacturer guidelines.. 1-1.

(18) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. MyLab in its portable configuration has a fold-away trolley. The trolley must be closed in order to transport the system.. C A U T I O N. Do not leave the trolley closed in the vertical position. Always leave the trolley in the open position to ensure maximum stability.. Electromagnetic Compatibility This system was designed for use in the electromagnetic environments declared in the tables below, in compliance with standard IEC 60601-1-2:2001. The operator must make sure that s/he uses it in keeping with this standard. Electromagnetic Emissions Emission Test RF emissions CISPR 11 RF emissions CISPR 11 Harmonic emissions on the electric power supply mains. Conformity. MyLab uses RF energy only for its internal Group 1. function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.. Class B. MyLab is suitable for use in all establishments, Class A. IEC 61000-3-2 Voltage fluctuations and flicker generation. Electromagnetic Environment. including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.. Conforms. IEC 61000-3-3. Electromagnetic Immunity. The electromagnetic tests are aimed at simulating the typical transients of an electromagnetic environment. MyLab was tested for immunity to transients and at their typical levels in a domestic, hospital or commercial environment. Immunity Test. Conformity Levels. Electrostatic discharge (ESD). ±6 kV on contact. IEC 61000-4-2. ±8 kV in air. Electromagnetic Environment and Measures to Be Taken The floor should be in antistatic material (wood, ceramic,…). If covered with synthetic material, relative humidity should be maintained at least at 30%.. 1-2.

(19) M y L a b 2 5. a n d. M y L a b 3 0 C V. Immunity Test. Conformity Levels. Transients/trains of rapid electric pulses. ±2 kV on the power supply lines. IEC 61000-4-4. ±1 kV on the input/output lines. Pulse. ±1 kV differential mode. IEC 61000-4-5. –. G E T T I N G. S T A R T E D. Electromagnetic Environment and Measures to Be Taken The quality of the electrical power supply and the mains frequency magnetic fields should be typical of domestic, commercial and hospital environments.. If the MyLab user has to work without a break while power supply is interrupted, s/he is advised to have power supplied through a UPS (Uninterruptible Power Supply) unit.. ±2 kV common mode Voltage gaps, brief interruptions and voltage variations on power supply input lines. <5 % of rated voltage (U T ) (voltage gap >95 %) for half a cycle. IEC 61000-4-11. 40 % U T (voltage gap 60 %) for 5 cycles 70 % U T (voltage gap 30 %) for 25 cycles <5 % U T (voltage gap >95 %) for 5 sec. Magnetic fields at mains frequency (50/60 Hz). 3 A/m. IEC 61000-4-8 RF conducted fields. 3 Vrms. IEC 61000-4-6. from 150 kHz to 80 MHz. Mobile or portable radio frequency (RF) communication appliances should be used at longer distances than those indicated on the following table.. RF radiated fields. 3 V/m. Interference may occur in the vicinity of equipment marked with the following symbol:. IEC 61000-4-3. from 80 MHz to 2.5 GHz. Recommended Distances between Radiofrequency (RF) Communication Systems and MyLab. SS. As stated in the Safety and Standards manual, it is recommended not to use radiofrequency (RF) transmission systems near the ultrasound system. RF systems can cause interference, which alters the echographic image and Doppler traces. The operator can prevent interference caused by electromagnetic fields by maintaining a minimum distance between the echographic system and the RF communication systems being used (cell telephones, mobile telephones…). The. 1-3.

(20) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. table shows the minimum distance in meters, according to the maximum power at the RF system output. Maximum Power at Transmitter Output. Distance According to Transmission Frequency [m] From 150 kHz to 80 MHz. From 80 MHz to 800 MHz. From 800 MHz to 2,5 GHz. d = 1.2 P. d = 1.2 P. d = 2.3 P. 0.01. 0.12. 0.12. 0.23. 0.1. 0.38. 0.38. 0.73. 1. 1.2. 1.2. 2.3. 10. 3.8. 3.8. 7.3. 100. 12. 12. 23. [W]. For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1 As a precaution, always apply the greater distance supplied by the table. NOTE 2 Electromagnetic propagation is subjected to absorption and reflection in the presence of structures, objects and people. The values in the table are general guidelines.. The operator must remember that the intensity of the electromagnetic fields generated by fixed transmitters (radio-base stations for cellular or cordless telephony, TV and radio transmissions, amateur radio transmissions…) cannot be predicted on a theoretical basis. Consequently, a direct measure may be necessary in the use environment of a MyLab unit. If the intensity of the electromagnetic fields exceeds that specified in the immunity levels shown in the previous tables, and the echographic system performs incorrectly, additional measures may be necessary, i.e. positioning the system in a different way.. Probes Superficial Temperature MyLab has been designed to keep the probes superficial temperature within the. limits defined by the IEC 60601-2-37 standard. We recommend to freeze the system at the end of the exam by pressing the key to avoid any probe overheating. The system will automatically be frozen if left inactive for a few minutes.. 1-4.

(21) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 2 - Clinical Applications. 2. Chapter. MyLab is designed for operators who are qualified in using ultrasound systems.. Models In their complete configuration, MyLab systems offer several intended uses.. SS. Carefully read Chapter 2 of the "Safety and Standards" manual.. W A R N I N G. Note. The operator must always follow the principle known as ALARA (As Low As Reasonably Achievable) and, in particular with this application, must use minimum acoustic power for the minimum time compatible with obtaining diagnostic information. Do not use MyLab for ophthalmic or transorbital applications. MyLab25. The basic configuration of MyLab25 includes an imaging system with the following license: Application General Imaging. Notes Includes ABDOMEN (ABD), PEDIATRIC (PED), BREAST, THYROID, other SMALL PARTS (testicles,…) and MUSCULO-SKELETAL (MS); includes endovaginal and transrectal exams if an endocavity probe is available. MyLab30CV. The basic configuration of MyLab30CV includes an color system with the following license: Application Cardiac (adults and pediatric). Notes Includes transesophageal exams if a TEE022 is available. 2-1.

(22) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Clinical Applications Please consult the corresponding chapter for specifications and licenses.. The tables below list MyLab probes and their clinical intended use.. CAR. PED. PV. SP. THY. MS. BRE. NC. AC. UR. ABD OB-GYN. PA Probes. PA230 PA121 PA122 PA023. 9 9 9 9. 9 9 9. 9 9. 9 9 9 9. 9 9 9 9. 9 9 9. 9 9 9 9. 9. 9. 9. 9. 9. 9. 9. 9. 9. 9. 9 9. 9 9. LA Probes. LA532 LA522 LA523 LA424. 9 9 9 9. 9 9 9 9. 9 9. 9 9. CA Probes. CA621 CA421 CA430 CA123. 9. 9 9 9. 9 9 9. 9 9 9. 9. Special Probes. TE022 EC123 IO323 LP323*. 9 9. 9 9 9. Doppler Probes. 2 CW 5 CW. 9 9 CAR: Cardiac (adults and pediatric); PED: Pediatric PV: Peripheral vascular; SP: Small Parts and small organs; THY: Thyroid MS: musculo-skeletal; BRE: Breast; NC: Neonatal cephalic; AC: Adult cephalic ABD: Abdominal; UR: Urology; OB-GYN: Obstetric and Gynaecology. * Not for the U.S. market W A R N I N G. Do not use MyLab for ophthalmic or transorbital applications. Do not use intraoperative and laparoscopic probes in direct contact with the heart, the central circulatory system and the central nervous system. Cardiac Applications. The probe applies ultrasound energy through the thoracic cavity to obtain an image of the heart sufficient for evaluating any cardiac abnormalities. In Doppler modes, the probe applies energy through the thoracic cavity to determine the velocity and direction of blood in the heart and vessels. In adults, the heart can also be studied through the esophagus and/or transgastrically with the TEE022 probe (Transesophageal exams).. 2-2.

(23) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Pediatric Applications. The probe applies ultrasound energy through the skin in order to obtain images and evaluate flows in pediatric and neonatal exams. In the latter case, the probe applies ultrasound energy through the fontanel in order to visualize cerebral structures (Imaging) or flows (Doppler) to detect structural or functional abnormalities.. SS. Carefully read Chapter 2 of the "Safety and Standards" manual.. W A R N I N G. Note. The operator must always follow the principle known as ALARA (As Low As Reasonably Achievable) and, in particular with this application, must use minimum acoustic power for the minimum time compatible with obtaining diagnostic information. This application does not include transorbital or any other ophthalmic application. Vascular Applications. The probe applies ultrasound energy through the neck or the limbs of a patient in order to obtain an image of the carotid artery or of other peripheral vessels. These images show the possible presence of abnormalities or obstructions of the vessels. In Doppler modes, the probe applies ultrasound energy through the neck or the hands/feet of a patient in order to evaluate blood velocity, flow or lack of flow, and the perviousness of the peripheral vessels.. SS. Carefully read Chapter 2 of the "Safety and Standards" manual.. W A R N I N G. Note. The operator must always follow the principle known as ALARA (As Low As Reasonably Achievable) and, in particular with this application, must use minimum acoustic power for the minimum time compatible with obtaining diagnostic information. This does not include transcranial, transorbital or any other ophtalmic application. Small Organs and Small Parts Application. The probe applies ultrasound energy through the skin to obtain an image or a Doppler flow visualization of small organs such as thyroid (neck), testicles (scrotal sac) and breast (breast). Musculo-Skeletal. The probe applies ultrasound energy through the skin to obtain an image of tendons, ligaments and muscles and to determine blood flow patterns and velocities.. 2-3.

(24) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Adult Cephalic. W A R N I N G. The probe applies ultrasound energy through the skull in order to visualize cerbral This not include transorbital or any otherabnormalities. ophthalmic vesselsapplication and does flows, to detect funtional application. Abdominal and related Applications. The probe applies ultrasound energy through the patient abdomen to obtain an image of the abdominal organs to detect abnormalities (Imaging) and assess the blood velocity, flow and patency of abdominal vessels through the Doppler modalities. Ultrasound energy is applied through the skin to respectively image the female genito-urinary organs or the kidney and males genito-urinary structures (prostate, bladder,…). An endocavity probe can also be used to image the same organs, either endovaginally (gynaecologic application) or transrectally (urologic application). OB Application. The probe applies ultrasound energy through a pregnant woman’s abdomen to obtain an image of the fetus to detect structural abnormalities or to visualize and measure anatomic and physiologic parameters of the fetus for the purpose of assessing fetal growth. In Doppler modes, the probe applies energy through the patient abdomen to detect placental or fetal flow abnormalities. An endocavity probe can also be used for the same purposes (endovaginal studies).. SS. Carefully read Chapter 2 of the "Safety and Standards" manual.. Note. The user should always follow the ALARA (As Low As Reasonably Achievable) principle, but especially in OB/fetal applications. Use the lowest amount of acoustic output power for the shortest duration of time to obtain the necessary clinical diagnostic information.. 2-4.

(25) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 3 - System Components and Installation. 3. Chapter. The MyLab will be installed by ESAOTE personnel. This person will be responsible for opening the packaging and ensuring that the system is correctly programmed and operational. This chapter provides an overview of the system's components and the major operations that may be necessary.. Configurations MyLab ο. Portable (with fold-. MyLab has a built-in LCD screen: in this way, the system can be used as portable configuration. MyLab can be supplied with a trolley, in both portable and mobile. configurations.. away trolley) ο. Mobile (hospital. Portable Configuration. type trolley). The console contains: the electronics, the control panel with speakers, a DVD burner (on the left), the probe connectors, the input/output connectors for the ECG, the peripheral units and a mains switch (rear panel). The console has a handle. The LCD opening and closing buttons are located at the side of the LCD.. 3-1.

(26) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. This configuration's compact size and light weight make it possible to move the MyLab very easily.. Fold-away trolley. The fold-away trolley has a front compartment to hold accessories.. Mobile Configuration MyLab can also be equipped with a hospital trolley, with compartments for. peripheral units. The hospital trolley can house a video recorder and a video printer. It has a compartment for additional accessories.. Hospital trolley. The trolley has a master switch to power up both console and peripheral units. The posterior wheels are fixed; anterior wheels are rotational and have brakes.. Installation Identifying Connectors and Switch With the exception of the probes, all connectors are located on the rear panel of the console. The connectors are all clearly identified according to the type of peripheral unit which they serve.. 3-2.

(27) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Rear panel. The table below lists the connectors and their intended use. Ports indicated in italics are not currently in use. Connectors C1 C2 C3 C4 C5 C6 C7, C8 C10. Use ECG cable Video recorder B/W or RGB printer SVGA monitor Not in use at present LAN connection USB connection Pedal input. The rear panel also contains the power cable socket, the fuse box and the system's power switch.. The probe connectors are located on the right. MyLab has two connectors for the electronic probes and one connector for the Doppler probe.. Installing the Portable Configuration System Connection. Lay MyLab on the work surface. Connect the power cable to the mains socket. Connect MyLab to a power socket. Press the LCD's safety push-buttons to open the screen. Probes Connection Electronic Probes. The probes can be indiscriminately connected to EA1 or EA2 connectors. Probe connection procedure: make sure that the connector-securing device is in the "OPEN" position, align the pins of the two connectors and carefully fit the probe connector. To secure it, move the securing device to its "LOCK" position.. Doppler Probe. To connect a Doppler probe, fit its connector with its reference facing up. MyLab is now ready to be powered up. Press the switch to turn on the system.. 3-3.

(28) M y L a b 2 5. C A U T I O N. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Do not switch off the machine before initialization has finished. MyLab can be switched off only when the window allowing to start the exam is shown this window is used for inputting the patient data and choosing the application. Never disconnect the probe while it is active. Press the Freeze key before disconnecting the probe. Installation on Hospital Trolley The hospital trolley is supplied by Esaote in a disassembled state, with the relevant assembly instructions. Esaote personnel will open the packaging and will ensure that the trolley is correctly assembled. Handle. Switch. Can't lose it knob.. W A R N I N G. Lay the console on the top surface of the trolley, allowing it to slide to the bottom, so that the profiles of the base match the housings. Secure the console to the trolley, screwing on the 'can't lose it' knob located under the top surface.. Make sure that the ‘can’t lose it’ knob is completely screwed. If it is not secured correctly, MyLab could come out of the housings and fall out.. Socket panel. Use one of the additional cables supplied with the trolley to power MyLab from any of the trolley sockets (indicated by symbols J1, J2, J3 and J4). Plug in the power cable and connect the trolley to the power mains. Press the LCD's safety push-buttons to open the screen. Connect the probes as described in the previous paragraph. To start the system, press the trolley’s power switch located on the upper left. The hospital trolley has brakes on the front wheels, which can be individually operated.. 3-4.

(29) M y L a b 2 5. W A R N I N G. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Don’t park the system on a slope. Don’t use the brakes to park the system on a slope.. Installation of Fold-Away Trolley Release the wheels, by exerting light upward pressure with the tip of your toe on the lever, and open the trolley. The console's support top is fitted to the trolley frame: slight upward force is sufficient to release it and position it horizontally.. Lay the console on the horizontal surface, allowing it to slide to the bottom, so that the profiles of the base match the housings. Secure the console to the trolley, screwing on the 'can't lose it' knob located under the top surface. W A R N I N G. Make sure that the knob is completely screwed. If it is not secured correctly, MyLab could come out of the housings and fall. MyLab must always be fitted on and removed from the fold-away trolley in. its open position. The trolley has neither a transformer nor additional sockets. To connect MyLab to the power mains and install the probes, follow the console installation instructions. Power up the system by pressing the system's master switch. Working Position. The fold-away trolley has an extensible handle, with three different positions corresponding to three different MyLab heights. Push the interlocking buttons to release the handle and slide it into the desired position.. Acclimation Time If the system has been left exposed to temperatures which are outside the range given for its correct working (15÷35°C), it must acclimate, before being switched on. The following table indicates the necessary waiting times:. T(°C) 60 55 50 45 40 35÷15 10 Hours 8 6 4 2 1 0 1 T(°C) 5 0 -5 -10 -15 -20 Hours 2 4 6 8 10 12. 3-5.

(30) M y L a b 2 5. a n d. M y L a b 3 0 C V. G E T T I N G. –. S T A R T E D. Adjusting the LCD Screen Brightness is adjusted by function keys F6 and F7 of the alphanumeric keyboard. The function keys are active if pressed simultaneously with the Fn key of the alphanumeric keyboard. Key F6 increases brightness, while key F7 reduces it. However, the most important adjustment is the relative orientation of the screen vis-à-vis the operator. Current LCD technology ensures that the orientation affects the chromatic perception of light. Consult the grey tones or color scale (on left of image) to correctly position the LCD screen.. Installing the Video Peripheral Units SS. The "Safety and Standards" manual provides the safety requirements and standards to be observed for using peripheral units with MyLab. The following cables are available for connecting the video peripheral units: Code 8830427000 8830428000 8830429000 8830915000 8830747000 8830749000. Description Cable for S-VHS video recorder Cable for B/W printer Cable for Sony RGB printer Cable for Mitsubishi RGB printer Cable with 2 connectors for 2 printers USB A/B cable. Before installing the peripheral units, make sure that the system is switched off and unplug the power cable from the mains. For video requirements see chapter “Technical Specifications”. From the MyLab control panel it is possible to manage both video printers and VTRs. For more information on systems which are proven to conform to the MyLab remote management characteristics, please contact the ESAOTE personnel. Installation on Hospital Trolley. • Lock the trolley by engaging the brakes. • Open the trolley's rear door. • Fit the peripheral unit on the desired shelf and secure it with the Velcro strips.. Connection to B/W Printer. The cable has a multi-pin connector on one end and BNC and remote connectors on the other end. Connect the cable as indicated in the table below. Cable connector Multi Pin BNC Remote. Side MyLab Printer Printer. Port C3 Video Remote control. 3-6.

(31) M y L a b 2 5. Connection to RGB Printer. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. The "RGB Printer" cable has a multi-pin connector on one end and four colored BNC and a remote connector on the other end. Cable connector Multi Pin BNC Remote. Side MyLab Printer Printer. Port C3 Input connectors Remote control. If one wishes to simultaneously connect 2 different printers to MyLab, one must use the 2-connector cable which duplicates port C3. The cable has a multiple-pin connector at one end and 2 multi-pin sockets on the other. The multi-pin connector should be connected to connector C3 of the rear panel of MyLab. In this way, the cables of the printers can be connected to the 2 multi-pin sockets. Connection to the Video Recorder. The cable for the video recorder (VTR) has a multi-pin connector on one end;. on the other end, there are two S-VHS connectors (IN, OUT), four audio connectors (two IN, two OUT) and one REMOTE. Cable connector Multi Pin S-VHS IN S-VHS OUT AUDIO IN AUDIO OUT REMOTE. USB Printers. Side MyLab VTR VTR VTR VTR VTR. Port C2 S-VHS In S-VHS Out Audio In Audio Out Remote control. MyLab can be connected to USB printers. The ports available for USB connections. are C6 and C7. The peripheral units must have an B-Type USB connector, to be able to use the available USB cable. Contact ESAOTE personnel for recommended models and their configuration. Power Feed to the Peripheral Units. C A U T I O N. • Use one of the additional cables supplied with the trolley connecting the unit to any of the trolley sockets (indicated with symbols J1, J2, J3 and J4). Do not exceed the maximum absorption limits indicated for insulated sockets. There is a risk of blowing the trolley fuses.. • Switch on the switches of the peripheral unit/s. • Close the trolley door At this point, the system can be connected to the mains, and the entire configuration can be powered, using the trolley main switch. W A R N I N G. If the peripherals aren’t powered through the trolley, do not place them within the patient’s area (1.5 m distance - 2.5 m height).. 3-7.

(32) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. In this latter case, peripheral units must be powered ensuring compliance with the medical security standards: please contact Esaote Service department to correctly install them. Note. When peripherals units aren’t powered thorugh the trolley, it is good practice not to touch simultaneously the patient and the peripheral unit. Trolley-Free Installation. To correctly power the system, follow the manufacturer's instructions. W A R N I N G. SS. The system must be powered to satisfy the electrical safety requirements, as specified in the "Safety and Standards" manual. ESAOTE recommends running a current leakage (patient and environment) test when installing in order to check whether the applicable limits of standard EN60601-1 are not being surpassed. As a further precaution, the operator is recommended to position these peripheral units, whenever possible, outside the patient's area (1.5 m for distance - 2.5 m for height). In this case, peripheral units must be powered ensuring compliance with the medical security standards: please contact Esaote Service department to correctly install them.. Additional Connections SVGA Monitor. ECG Cable. MyLab can be connected to an external SVGA monitor. Connect the monitor's. signal cable to the C4 connector of the rear panel. The ECG cable should be connected to the connector C1 of MyLab's rear panel. The ECG cable is wired to generate a I lead. By suitably positioning the electrodes, one can however obtain a II or III lead. The ECG cable is available as an accessory, both with an IEC lead (code 9630028000) and with an AHA lead (code 9630028010).. Footswitch. With MyLab, a footswitch for managing the Freeze or other real-time modes can be. connected. The footswitch should be connected to connector C10 on the rear panel. The footswitch (code 9102756000) is also available as an optional accessory.. Connection to a DICOM Server. If it has a DICOM license, MyLab can be connected to a DICOM server, by using the LAN C6 port.. 3-8.

(33) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Moving and Transporting the System Transport of Hospital Configuration. MyLab in his hospital configuration is provided with wheels and handle to allow the user to easily move the unit. The following precautions must be observed:. W A R N I N G. •. Switch the system off and unplug the power cord.. •. If the probes are connected, be sure that they are properly placed in the suitable MyLab probe-carriers and that the cables do not reach the floor.. •. If the peripherals are also placed on an external additional platform, be sure they are disconnected from MyLab before moving the ultrasound unit.. •. The wheels of MyLab are provided with brakes; be sure the brakes are disabled before moving the ultrasound apparatus.. •. Avoid any unnecessary mechanical shocks to the system while moving it.. Be sure that the probes are locked in the appropriate holders and the probe cables are properly hanged in the cable hooks during the movement of the system . For locking the system in a stable way is necessary to lock at least two wheels. Transport on Fold-Away Trolley. The system must be moved with the trolley in closed position. Remove any connected probes, shut the LCD screen and unplug the mains plug. If necessary, take the handle to its lowest position. When the handle is lowered, a light pressure on it is enough to release the horizontal top and close the trolley.. C A U T I O N. To close the trolley, push the handle only. Any pressure exerted on the hood could damage the LCD screen. Empty the accessories compartment before closing the trolley.. 3-9.

(34) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Close the wheels: the locking lever hooks automatically. To facilitate transport, the fold-away trolley has an extendable handle. The handle has three different positions. Press the jointing push-buttons to release the handle, allowing it to slide to the desired position. C A U T I O N. Do not leave the trolley closed in vertical position. Always leave the trolley in open position to ensure maximum stability.. Transportation. • When transporting the system on a vehicle, remind to: • Disconnect and remove all probes and peripherals. • Use the brakes to lock the system in his hospital configuration. Fasten securely the system inside the vehicle.. • Place the system on a flat surface if in his fold-away configuration. Protect the system with some padding during transportation. .. 3-10.

(35) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 4 - Control Panel. 4. Chapter. This chapter provides a brief description of the system controls.. The Control Panel Control panel components: an alphanumeric section (keyboard, general controls), the trackball, a software keys section (at the bottom of the LCD), and a controls section. Loudspeakers (Doppler) are in the controls section.. Alphanumeric Section This section includes the TGC controls and an alphanumeric keyboard. The TGC potentiometers control signal amplification in individual zones of the image. The potentiometers are used to adjust the signal zone by zone. The alphanumeric keyboard is based on the QWERTY standard. The alphanumeric keys are used for inputting text data in the enabled windows. The Caps Lock key presets the keyboard to upper case characters. The yShift key is used for typing in lower case or upper case characters (according to how the keyboard is set) or the characters indicated in the top left section of some keys.. 4-1.

(36) M y L a b 2 5. Special Characters. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. With MyLab, the operator can type in the special characters through the Windows® XP standard modalities. To type in special characters, two keys have to be simultaneously pressed. The table below: shows the operating modalities. First key. Second key. Special characters. e, y, u, i, o, a. é, ý, ú, í, ó, á. ` (Grave accent). e, u, i, o, a. è, ù, ì, ò, à. ^ (Circumflex). e, u, i, o, a. ê, û, î, ô, â. o, a, n. õ, ã, ñ. e, y, u, i, o, a,. ë, ÿ, ü, ï, ö, ä. ‘ (Apostrophe). ~ (Tilde) “ (Diaeresis). The following characters are also available, if the operator presses the Alt key and the numbers sequence listed in the table below:. Text Entry. AO. Alt + sequence. Special character. 0231. ç. 0229. å. 0230. æ. 0248. ø. 0233. ß. If any of the alphanumeric keys are pressed during the exam, this automatically activates the input of text. All writing operations are managed by the alphanumeric keyboard and trackball, the latter being used to position the cursor. key allows to access a glossary, which can be configured by the user. The Refer to the “Advanced Operation” manual for more information on text entry.. Trackball The trackball operates in two different modes. Standard Mode. In its standard function, the trackball makes it possible to quickly position the cursors on the screen. The following chapters provide details of the specific functions performed by the trackball in operations requiring it to be used. Each mode automatically activates the trackball on its cursor:. 4-2.

(37) M y L a b 2 5. a n d. M y L a b 3 0 C V. Mode B-Mode M-Mode, Doppler CFM. –. G E T T I N G. S T A R T E D. Trackball Transmission focal point LINE cursor CFM ROI cursor. When several cursors are present on the screen, the ACTION key switches the active cursor. Mouse Mode. AO. Refer to “System Configuration” section for trackball configuration. The trackball can then be used to move a pointer on the screen. In Real-Time the pointer can be used to activate software keys functions and to toggle through their menus. In Freeze, Exam review and Archive review the pointer can be used to access archive menus. In this case, the keys placed on the left and right side of the trackball can be set as mouse keys (as enter and context menu keys). Regardless of the trackball configuration, the enter and context menu keys are respectively indicated as ENTER and UNDO keys in this manual. The POINTER key makes it possible to change the trackball operation from standard to mouse mode.. Software Keys Four buttons and six menu toggles are located at the bottom of the LCD screen. The functions of these keys vary according to mode, application, and settings. The menu shown above the keys indicates the functions assigned to them. To correctly use the software keys, keep in mind the following: •. The buttons are shown according to their status. To be pressed. Pressed. Diasbled. Blue. Sky-Blue. Dark Grey. If the button is active, the displayed function is enabled by pressing the key. •. If the displayed menu has more than six scrolling toggles, the sixth toggle (NEXT/PREVIOUS) is used to scroll through the menus of the first five keys. Press the push-buttons to select the required setting.. Controls Section Exam Flow START END. is the key that opens and closes every exam. The menu is used for entering the patient data and the choice of application, probe and required presets. ) or preset (key ). During the exam, one can select a different probe (key. 4-3.

(38) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. When the exam is finished, press the START END key again. It is then possible to archive the patient's data and produce a report on the exam. The system clears the stored data and shows the exam start window again.. Closing session C A U T I O N. The STARTEND key, kept pressed for more than three seconds, activates the closing session procedure. This is a PC based system; data loss or driver damage may occur if the system is turned off while working. Refer to appropriate sections of this manual for detailed information on when and how to safely power the system off. This key is used to input or modify the patient's data during the exam.. The Mode Keys. This key re-activates a B-Mode image in real-time when it is used in any other mode. If pressed in M-Mode, Doppler or Freeze, it restores a full screen bidimensional image. Color Doppler (CFM) is activated or disabled by pressing this key in B- or MMode. In B-Mode, a cursor delimits the Region of Interest (ROI) where color analysis is executed and displayed. The ROI's dimensions and position can be varied with the . trackball, activating the ROI cursor with key The Real-Time Soft Keys menu allows the operator to vary the display modality and to switch to Power Color or TVM (Tissue Velocity Mapping). TVM1 utilizes Doppler to display the heart walls motion, rather than flow. The displayed menu makes it possible to vary the B-Mode and make it coincide with the ROI ("Coincident" view). Color M-Mode is shown full screen or with a reference 2D, according to the choices on the displayed menu. This key activates the M-Mode, and if necessary, its selection cursor (B-Line). There are five possible viewing formats: the format with full screen M-Mode; the dual format, with the screen split vertically with 2D on the left and trace on the right; the split formats, with the screen split horizontally, with the reference 2D above (out of three possible dimensions) and the M-Mode trace below. The viewing format can be preset and varied in real-time through the displayed menu.. 1. TVM and TV modes are enabled only with PA230, PA122 and TE022 probes in a cardiac application.. 4-4.

(39) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. The PW key is used for activating the Pulsed Wave Doppler (PW), CW for activating the Continuous Wave Doppler (CW); both keys activate the positioning cursor if necessary. As in M-Mode, there are five viewing formats: the three split formats, the dual format and the full screen format. In PW, the Real-Time Soft Keys menu allows the operator to switch to the display modality TV1 (Tissue Velocity). TV sets Doppler filters to display strong signals with low motion such as the heart walls motion, rather than flow. During the exam, the format can be preset or varied interactively through the menu. In 2D or CFM, the LINE cursor can be interactively activated or disabled to select the M-Mode or Doppler line. Both in M-Mode and in Doppler, the key starts trace acquisition. If this key is pressed during acquisition, the trace is frozen and the reference 2D is temporarily re-activated. Gain Knobs. These two keyboard knobs are used for adjusting the amplification of the echo signal. Gain is increased by turning clockwise and is reduced by turning counterclockwise. The knob on the right acts on the B- and M-Mode signals, adjusting amplification over the entire depth of the image. The left knob amplifies the CFM and Doppler gain, according to which mode is active. In Doppler mode, gain acts on both components of the signal (video and audio). The level of the audio signal may be independently adjusted with the AUDIO knob, which is disabled in the imaging modes. If some preset parameters are varied during the exam, the to restore the presets set for the active application.. key can be used. This key stops the current analysis or scan and puts the system in Freeze mode. To re-activate in real-time, press a second time or directly press the key for the required mode. According to how the system is preset or to the selections on the displayed menu, these keys activate multiple views of two (dual) or four 2D (quad) images. In Dual mode, one can display two different images or the same 2D image simultaneously. Press any key to activate multiple presentations. The active 2D is displayed on the left (in the upper box for quad presentation). If one of the keys is then pressed, this key is pressed, or freezes the 2D in acquisition and activates the next 2D; if the the previous if the key is pressed. Press the. key to restore a normal format. 4-5.

(40) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. The Zoom function, active both in Real-Time and in Freeze, is used to selectively enlarge a zone of the image in B-Mode or in CFM. Initial pressing of the ZOOM key activates a sectorial cursor that can be positioned (and possibly varied in terms of dimensions) by the trackball on the zone of interest. The second pressure activates the enlarged presentation of the selected zone. Press ZOOM to return to a normal format. Use the key to cancel the enlargement factor cursor from the as yet nonenlarged image. The DEPTH key increases or reduces scanning depth in all imaging modes. When the be enlarged.. cursor is active, the DEPTH key varies the dimension of the area to. This key is active in real-time only and is used for varying emitted power during the exam. It operates independently for each mode: e.g. in PW mode, it controls the power of the Pulsed Wave Doppler; in 2D-CFM mode, it controls the power of the CFM.. SS. Power control must be adjusted to the minimum possible level compatible with an acceptable image. Carefully read the "Safety and Standards" manual with reference to the guidelines on the safety of ultrasound. In all applications where the ECG is shown, the key enables the operator to vary the amplitude of the ECG trace and its position selection on the screen. Exam Storage. During the exam, the operator can save both individual images and sequences (for systems having the clip license). The keys to use are IMAGE for the frames and CLIP for the sequences (2D or CFM). The stored images and sequences are displayed as thumbnails on the right of the screen. key is used for accessing, at any time, the data stored during the current The exam. To access the data archive, press the key. Exam Report. The following may always be executed: general measurements (key ) and access to the calculations package, specifically for the application in progress (MEASURE key). When the required key is pressed, the list of available measurements is shown to the right of the image. MyLab can control two different peripheral units with keys 1 and 2, according to the. system's presets. For example, the operator can connect both a B/W printer and an RGB printer and control them separately with these keys.. 4-6.

(41) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. This key activates and disables the VTR Menu. The software keys menu enables video recorder play-back and other VTR operations (fast forward, eject,....). Note. To ensure correct video recorder operation, MyLab must be configured with the correct VTRs and with the relevant settings. Settings. This displays the system menu for all configurations / settings (center name, preset…). The menu is explained in detail in another chapter.. Advanced Operations AO. Keys MARK, REPORT, ANNOT, ACQUIRE and CONTRAST activate advanced operations: further details on how to use them are described in the "Advanced Operations" manual l.. 4-7.

(42) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 4-8.

(43) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 5 - Screen Lay-Out. 5. Chapter. This chapter provides a brief description of the information on the MyLab screen.. Information about the Screen The screen is subdivided into three main areas: Heading. The video area (i.e., the screen area which can be managed by video peripherals) is a screen sub-set; it includes most of the Heading and the entire Image Area.. Image Area. Software Keys Menu. Heading This area is used for displaying the icons of the following: trackball, archival systems, configured peripheral units; it also shows the following information: center and patient data, and the date. For setting centre data, see the appropriate chapter of this manual.. Patient data are displayed only if entered at the beginning of the exam. The system displays the following patient data: last name and first name, age and patient code.. 5-1.

(44) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Trackball. The trackball function is indicated by the icon shown at the top left of the screen. When there are several cursors on the screen, two icons are displayed simultaneously. The yellow icon shown on the left indicates the active cursor; the one in green on the right indicates the next cursor that can be activated. The key switches between cursors. Archival Systems. The archival system icons are shown at top left, after the trackball icons. The icon is shown crossed out whenever there are management problems involving the specific archival system.. AO. For more details on data archival, consult the relevant chapter and the Advanced Operations manual. Peripheral Units. The system is able to simultaneously manage two peripheral units (b/w or RGB printer and the VTR). The icons of the peripheral units are shown at top right of the screen. If no peripheral unit is enabled, the right side of the header bar shows two gray icons. The icon is shown crossed out whenever there are management problems involving the specific peripheral unit. Real-Time and Freeze. A specific icon is used for the real-time and frozen image - it is shown on the right of the heading area. Whenever an image is frozen, a memory bar is displayed (at bottom right) concerning the scrolling memories. The images acquired immediately before the system are frozen and archived in these memories. The trackball can be used to examine the 2D, M-Mode, Doppler and CFM information image by image.. Image Area The display of the image depends on various factors such as active mode, selected application, and transducer. The following figure shows the elements in the image area that are independent of these factors.. 5-2.

(45) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Legenda: Number. Icon. 1 2 3 4 5 6 7 8 9 10 11 12 13. Active application Machine parameters Sector orientation Acoustic output data Thumbnails of stored images Focal zone If colored, it indicates images to be scrolled Frame Rate Heart rate CFM scale Imaging scale Active probe Selected preset. Applications. The system displays different icons according to the selected application.. 5-3.

(46) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Machine Parameters Imaging. Parameter F. Quantity nnn MHz. G D PRC. nn % nn cm n-n-l. PRS PST SV Θ. n n nn-nnn mm nn°. Description Imaging frequency or TEI mode (Resolution or Penetration), when enabled Imaging gain (Min, %, Max) Depth Dynamic range, Sharpness , Density (L: Low, H: High) Persistence Post -processing curve Sample volume Size and Depth (PW) Doppler correction-angle. SV and Θ are displayed only if the relevant cursor is active. CFM. Doppler. Parameter F. Quantity nnn MHz. G PRF PRC. nn % nnn kHz n-l. PRS WF. n n. Parameter F. Quantity nnn MHz. G PRF PRC. nn % nnn kHz n-n. PST WF. n nnnn Hz. Description CFM frequency or TVM frequency when enabled CFM gain (Min, %, Max) Pulse Repetition Frequency Sensitivity, Density (L: Low, H: High) Persistence CFM filter (L: Low, M: Medium, H: High) Description Doppler frequency or TV frequency when enabled Doppler gain (Min, %, Max) Pulse Repetition Frequency (kHz) Pre-processing curves (Dynamic range, Rejection) Post-processing curve Wall filters. 5-4.

(47) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. 6 - Exam Performance. 6. Chapter. This chapter describes the operations usually carried out while an exam is being performed and how to turn the system off at the end of the session.. SS. Read the Safety and Standards Manual carefully: all the safety characteristics, cautions and warnings listed apply to all exams. Remember that it is necessary to be familiar with the mechanical and thermal indices display and the ALARA principle (As Low As Reasonably Achievable) before using any probe. The patient must be exposed to ultrasound for as short a time as possible and only for as long as it takes to achieve the diagnostic information. Exam Start and End At power-up, at end of the initial autotest and at the start of every new exam (key ) the system shows the screen in the figure below. If necessary, the key allows activation of real time before ending the initialization phase). C A U T I O N. Do not turn the system off during the initialization phase: the hard disk coud be damaged by this operation. Note. AO. To guarantee data integrity and confidentiality, the system allows to configure a list of users allowed to work on the system. In this case to access the system the user needs to log in and type a password. See the “Advanced Operations” manual for further information. The Exam Start window is used for inputting patient data, for selecting the application, as well as the required presets and probe.. 6-1.

(48) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Age is automatically calculated from the date of birth. In cardiac applications one can enter height, weight and BSA values.. Note. The user may program and add presets to better suit individual clinical needs or preferences, while applications depend on the installed optional licenses. At any time during the exam, the operator can view and modify the patient's data with and can also select a different probe and setting by using and . W A R N I N G. Do not use to start a new exam as it will update existing patient’s data with new entries. To activate a new procedure, always use the key. To select fields and options, use the trackball and the key: The trackball moves the cursor; the key fixes its position, opens the drop-down menu and selects the option.. How to Input Patient Data and Select an Application. •. Move the cursor with the trackball.. •. Input the patient's data with the alphanumeric keyboard. Key Back Space is used to clear input characters.. •. To move rapidly through the different items, use the Tab ' key.. •. Select the required application, preset and probe. The selected application and presets are displayed over a black background, and the selected probe is displayed over a blue field.. •. Locate the cursor over OK and press. to begin the exam.. The system activates real-time in 2D. The selected application and presets automatically determine the type of format, CFM maps and power values … W A R N I N G. Before beginning the exam, ensure that the active probe displayed on the screen matches the one selected on the Exam Start page.. 6-2.

(49) M y L a b 2 5. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. Exam End. To end the exam, press the key again. The window displayed at the end of the exam is used to archive the exam. This window shows the patient's first name, the type of activated application and the dimensions of the stored images.. Further details are provided in the data archival chapter.. Before archival, the patient data can be made anonymous. The exam can be simultaneously archived and exported. The system automatically presents the window allowing the start of the exam. Note. At power-up, the system prompts the operator to archive the last exam performed if the system was switched off without first closing the exam in progress.. ECG When the electrodes have been applied and connected, the position of the ECG trace on the screen can be selected, and its gain can be adjusted. •. Press. •. Modify the signal's amplitude by pressing key G A I N .. •. If necessary, press P O S I T I O N to move the ECG trace on the screen.. •. The E C G key enables or disables the display of the trace on the screen.. Press. to display the software keys menu.. to return to the real-time menu.. Performing the Exam By pressing the different mode keys, the specific mode is activated in real -time. If the same key is pressed again, the system automatically returns to the previous presentation.. 6-3.

(50) M y L a b 2 5. Line cursor. a n d. M y L a b 3 0 C V. –. G E T T I N G. S T A R T E D. In the formats with a trace (M-Mode and Doppler), before activating the mode, press to display the scanning line. During scanning, freezes the trace and re-activates the 2D reference; the key activates or freezes the 2D reference, maintaining the trace in real-time.. PLEX. The keyboard and the commands displayed on the software keys make it possible to optimize presentation quality. Different menus correspond to each format. If the displayed menu has several levels, press key N E X T /P R E V I O U S to scroll through all functions.. For further information about clip formats, consult the next chapters.. and in realTo save images and image sequences (2D or CFM), press time. Single images are saved with full definition, whereas sequences are compressed. Sequences, or clips, are compressed in BMP format, with minimum loss of information. Note. Digital data storage is typically slower than the ultrasound frame rate; the clip frame rate may therefore be lower than the original one. A Warning message is displayed if the archival frame rate drops below 20 fps, as it may occur if multiple tasks (example: burning a CD and saving new clips) are concurrently working. The thumbnails of the saved data are shown downward in chronological order. A maximum of eight thumbnails are shown: the colored arrow in the thumbnails column indicates that further images are present for scrolling.. AO. The Advanced Operations manual provides a detailed description of all the software keys active in the different modes.. Freeze and Scrolling Memories The key freezes the image. The system displays the scroll bar of the memories, where the images acquired just before the system was put on freeze are temporarily saved. How to Scroll through the Memories. Trackball icon. Trackball icon. Move the trackball horizontally to scroll through the images one by one. The scrolling bar shows the trackball position. Use the S T A R T /E N D key to automatically move to the start or end of the sequence. key In the case of multiple formats, several scrolling bars are displayed; the changes over from one bar to the other, whereas the trackball scrolls through the images of the selected bar.. 6-4.

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